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模拟牙根内吸收情况下粘结纤维桩与牙齿的粘结强度

Bond strength of cemented fiber posts to teeth with simulated internal root resorption.

作者信息

Abreu Ricardo-Toledo, Monteiro Jaiane-Bandoli, Abu-Hasna Amjad, Santos Thaís-da Silva-Alves, Dal Piva Amanda-Maria-de Oliveira, Pucci Cesar-Rogerio, Torres Carlos-Rocha-Gomes, Carvalho Cláudio-Antonio-Talge

机构信息

São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP.

出版信息

J Clin Exp Dent. 2020 Mar 1;12(3):e277-e284. doi: 10.4317/jced.56568. eCollection 2020 Mar.

Abstract

BACKGROUND

Teeth with internal root resorption (IRR) have guarded prognosis, considering that IRR defect could influence on the post bond strength. The aim of this study was to evaluate the bond strength and the bond interface between different glass fiber-reinforced posts (FRP) after cementation in teeth with simulated internal root resorption (IRR).

MATERIAL AND METHODS

Forty-five (45) human premolar roots with simulated IRR were embedded in acrylic resin blocks and cross-sectioned into two segments, enabling them to be re-approximated by screws. Intracanal medication was inserted for 15-days, removed by passive ultrasonic irrigation (PUI) and examined by stereomicroscopy. The push-out bond strength of two fiber reinforced composite posts (Rebilda Post - RP) and Rebilda Post GT - GT, (VOCO) were evaluated at the cervical and IRR regions (n = 20). And, the bonded interface between resin cement and root dentine was analysed by scanning electron microscopy (SEM).

RESULTS

62.5% of IRR were not completely cleaned by PUI. Bond strength values at the cervical region (9.8 and 14.6 MPa) were higher than the IRR region (6.3 and 4.2 MPa). Micrographies showed bubbles in the cement and spaces in the bonded interface.

CONCLUSIONS

RP post showed better bond strength at the cervical region while GT had better bond strength at the IRR region. Endodontics, root canal filling materials, root resorption, X-Ray microtomography.

摘要

背景

考虑到内部牙根吸收(IRR)缺陷可能会影响桩核粘结后的强度,患有IRR的牙齿预后不佳。本研究的目的是评估模拟内部牙根吸收(IRR)的牙齿粘结不同玻璃纤维增强桩(FRP)后的粘结强度和粘结界面。

材料与方法

将45颗模拟IRR的人类前磨牙牙根嵌入丙烯酸树脂块中,切成两段,可用螺丝重新对接。根管内封药15天,通过被动超声冲洗(PUI)去除,并通过体视显微镜检查。评估了两种纤维增强复合桩(Rebilda Post - RP)和Rebilda Post GT - GT(VOCO)在颈部和IRR区域的推出粘结强度(n = 20)。并且,通过扫描电子显微镜(SEM)分析了树脂粘结剂与牙根牙本质之间的粘结界面。

结果

62.5%的IRR未被PUI完全清洁。颈部区域的粘结强度值(9.8和14.6 MPa)高于IRR区域(6.3和4.2 MPa)。显微照片显示粘结剂中有气泡,粘结界面有间隙。

结论

RP桩在颈部区域显示出更好的粘结强度,而GT在IRR区域具有更好的粘结强度。牙髓病学、根管充填材料、牙根吸收、X射线显微断层扫描。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/024d/7071544/6cfac8bc1fd0/jced-12-e277-g001.jpg

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